MAY 2013

NEW ZEALAND PASSENGER ARRIVAL CARD

Informationcollected on this formand during the arrival process is sought to administer Customs, Immigration,
Biosecurity,Border Security, Health, Wildlife, Police, Fine Enforcement, Justice, Benefits, Social Service, Electoral,
Inland Revenue,and Currency laws. The information is authorised by legislation and will be disclosed to agencies
administering and entitled to receive it under New Zealand law. This includes for purposes of data matching between
those agencies. Once collected, information may be used for statistical purposes by Statistics New Zealand.

This Arrival Card is a legal document false declarations can lead to penalties including
confiscation of goods, fines, prosecution, imprisonment, and deportation from New Zealand.
A separate Arrival Card must be completed for each passenger, including children.
Please answer in English and fill in BOTH sides.
Print in capital letters like this: NEW ZEALAND or mark answers like this:

Flight number/name of ship Aircraft seat number

Numero do Voo do CHILE

Overseas port where you boarded this aircraft/ship

Nro Assento
SANTIAGO (SCH)

Passport number

Numero do seu passaporte

BRAZILIAN
Family name
<<SOBRENOME>>
Given or first names <<NOME>>
Date of birth day month year
mes
ano
dia
Country of birth
BRAZIL
Occupation or job
RETIRED
Full contact or residential 13A FERNLEA RISE
address in New Zealand
BAYVIEW - AUCKLAND 0629
Email <<E-MAIL>>



Mobile/phone number +55 11 99999 9999
Nationality as shown on passport

2a

Answer this section if you live in New Zealand. Otherwise go to 2b.

years months days
How long have you been
away from New Zealand?
Which country did you spend most time in while overseas?

What was the MAIN reason for your trip? business education other
Which country will you mostly live in for the next 12 months? New Zealand other
Answer this section if you DO NOT live in New Zealand.
2b
How long do you intend
years months days
Permanently or
to stay in New Zealand?
13
2

If you are not staying permanently what is your MAIN reason for coming to New Zealand?
visiting
friends/relatives business holiday/vacation
x
conference/convention education other
In which country did you last live for 12 months or more?

BRAZIL
State, province or prefecture

SAO PAULO

Zip or postal code

02344-070

Please turn over for more

questions and to sign

List the countries you have been in during the past 30 days:

BRAZIL

Do you know the contents of your baggage?

WARNING: false declarations can incur $400 INSTANT FINE

x Yes No

Are you bringing into New Zealand:

Any food: cooked, uncooked, fresh, preserved, packaged or dried? x Yes No
Animals or animal products: including meat, dairy products, fish, honey,
x
bee products, eggs, feathers, shells, raw wool, skins, bones or insects? Yes No
Plants or plant products: including fruit, vegetables, leaves, nuts, parts
of plants, flowers, seeds, bulbs, fungi, cane, bamboo, wood or straw? Yes No
x
Other biosecurity risk items, including:
Animal medicines, biological cultures, organisms, soil or water?
Equipment used with animals, plants or water, including for
gardening, beekeeping, fishing, water sport or diving activities?
Items that have been used outdoors, such as boots, golf or sports
shoes, tents, used camping, hiking or sports equipment?

Yes No
x

x
Yes No
Yes No
x

In the past 30 days (while outside New Zealand) have you visited
a forest, had contact with animals (except domestic cats and dogs)
or visited properties that farm or process animals or plants?

Yes No
x

Are you bringing into New Zealand:

Goods that may be prohibited or restricted, for example medicines,
weapons, indecent publications, endangered species of flora or
x
fauna, illicit drugs or drug paraphernalia? Yes No
Alcohol over the personal concession (3 bottles each containing not more
than 1125 millilitres of spirits and 4.5 litres of wine or beer) and tobacco
products over the personal concession (200 cigarettes or 250 grams
of tobacco or 50 cigars or a mixture of not more than 250 grams)? Yes No
x
Goods obtained overseas and/or purchased duty free in New Zealand
with a total value of more than NZ$700, including gifts? Yes No
x
Goods carried for business or commercial use or goods carried
x
on behalf of another person?
Yes No
A total of NZ$10,000 or more in cash (includes bearer-negotiable
x No
instruments) or foreign equivalent?


Yes

Do you hold a current New Zealand passport, a residence class visa or

a returning residents visa? If yes go to 10

Yes
x No
Are you a New Zealand citizen using a foreign passport?
If yes go to 10



Do you hold an Australian passport, Australian Permanent Residence
Visa or Australian Resident Return Visa? If yes go to 9

Yes
x No
Yes No
x

All others.
You must leave New Zealand before expiry of your visa or face deportation.
Are you coming to New Zealand for medical treatment or consultation
x
or to give birth?

Yes No

If you hold a visa go to 9

All others apply for one of these
work visa visitor visa limited visa student visa other visa
9

Have you ever been sentenced to 12 months or more in prison, or

been deported or removed from any country?

Yes No
x

10 I declare that the information I have given is true, correct, and complete.
Signature

Date

08/10/2013

(parent or guardian must sign for children under the age of 18)
The Privacy Act 1993 provides rights of access to, and correction of, personal information. If you wish to exercise these rights please contactthe
New Zealand Customs Service on 0800 428 786 or Email: feedback@customs.govt.nz and/or Immigration New Zealand at PO Box 3705, Wellington.